Evidence map›Paper›PMID 31248925›Full record

ArticleBMJ open2019

Barriers to accessing cancer services for adults with physical disabilities in England and Wales: an interview-based study.

Dikaios Sakellariou, Sally Anstey, Sarah Gaze, Eleri Girt, Daniel Kelly, Barbara Moore, Sarah Polack, Roger Pratt, Gill Tyrer, Narelle Warren and 2 more

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. Review
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  8. Article
  9. Identifying and Reducing Barriers to Breast Imaging.Current breast cancer reports · 2023
    Review
  10. Cancer Disparities Experienced by People with Disabilities.International journal of environmental research and public health · 2022
    Article
  11. Article
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Dikaios SakellariouSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.ORCID 0000-0002-2668-2834
Sally AnsteySchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Sarah GazeSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Eleri GirtWales Cancer Network, Cardiff, UK.
Daniel KellySchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Barbara MooreHealth and Care Research Wales, Cardiff, UK.
Sarah PolackInternational Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UK.
Roger PrattLay Advisory Group Member, Cardiff, UK.
Gill TyrerLay Advisory Group Member, Llandudno, UK.
Narelle WarrenSchool of Social Sciences, Monash University, Melbourne, Victoria, Australia.
Wendy WilkinsonWales Cancer Network, Cardiff, UK.
Molly CourtenaySchool of Healthcare Sciences, Cardiff University, Cardiff, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to explore the barriers to accessing cancer services faced by adults with pre-existing physical disabilities.

designCross-sectional, exploratory qualitative study. Data were collected by semistructured interviews and analysed thematically.

settingParticipants were recruited through statutory and third sector organisations in England and Wales between October 2017 and October 2018.

participants18 people with a diagnosis of cancer and a pre-existing physical disability.

resultsThe findings illustrate that people with physical disabilities in England and Wales face a variety of barriers to accessing cancer services. The overall theme that emerged was that participants experienced a lack of attitudinal and institutional preparation both from healthcare professionals and healthcare facilities. This overall theme is illustrated through three subthemes: lack of acknowledgment of disability, unseeing disability and physical inaccessibility.

conclusionsAs the population ages and increasing numbers of people live with cancer and disability, it is important to develop knowledge to respond to the needs of this population. The mere existence of services does not guarantee their usability. Services need to be relevant, flexible, and accessible and offered in a respectful manner. It is important that healthcare professionals work towards inclusive healthcare provision, enabling the utilisation of services by all. Necessary steps to be taken include better communication between the various professionals and across the different teams involved in patients' care, raising awareness of how physical disability can affect or interact with cancer-related treatment and creating more accessible physical environments.

Indexed as

Persons with DisabilitiesQualitative ResearchAdultAgedCross-Sectional StudiesEnglandFemaleHealth Services AccessibilityHumansMaleMiddle AgedMorbidityNeeds AssessmentNeoplasmsRetrospective StudiesWalesaccess to healthcarecancerhealth inequitiespeople with disabilitiesphysical impairment

Identifiers

PMID31248925
PMCPMC6597631

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.